NPI | 1053974162 |
---|---|
Former Name | CASEY N GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 5528) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1509) |
Enumeration Date | 2019-04-16 |
Last Update Date | 2021-10-08 |